Active NPI 1083805675 Individual Practitioner Male Practitioner

Dr. Edward Scott Paxton , MD

Orthopaedic Surgery • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edward Paxton, MD is a certified Orthopaedic Surgery practicing in Providence, RI. With approximately 19 years of clinical experience since graduating from Washington University School Of Medicine in 2007, Dr. Paxton delivers high-quality medical care to the local community at 2 DUDLEY ST.

Dr. Paxton is affiliated with University Orthopedics Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of shoulder, minimum of 2 views, injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2 Dudley St

Providence, RI 029053236

Telephone 4014572157

Fax 4014572141

Associated Practice Facility / Clinic

🏢 Northeast Orthotics & Prosthetics, Inc. Facility NPI 1356343651

Medicare Profile & Education

Medical School

Washington University School Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Providence, RI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +6.1 yrs vs City Avg

City Avg: 12.9 Yrs

State Avg: 23.9 Yrs

Regional Practice Density

62 Specialists

Practicing in Providence, RI (154 Statewide)

Telehealth Adoption Rate

3.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Paxton (19 Years) 19 Yrs

Providence Specialty Average (12.9 Years) 12.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	537	308	$135.00	$34.34
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	408	75	$15.00	$0.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	158	$331.00	$126.88
20610 Aspiration and/or injection of fluid from large joint	101	72	$302.97	$59.92
99213 Established patient office or other outpatient visit, typically 15 minutes	101	92	$226.00	$91.60
73070 X-ray of elbow, 2 views	47	27	$112.00	$29.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$450.00	$162.95
23472 Prosthetic repair of shoulder joint, total shoulder	32	32	$12000.00	$1391.25
23430 Anchoring of biceps tendon	23	23	$3500.00	$376.22
73060 X-ray of upper arm, minimum of 2 views	19	11	$124.00	$25.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$137.00	$55.29
29827 Repair of shoulder rotator cuff using an endoscope	16	16	$5588.00	$1003.80
29823 Removal of extensive shoulder joint tissue using an endoscope	15	15	$3636.00	$116.97
23600 Closed treatment of broken top of upper arm bone	14	13	$1178.00	$349.77
29828 Release of shoulder biceps tendon using an endoscope	12	12	$4742.00	$408.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$330.00	$112.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	602	354	$135.00	$34.89
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	421	84	$15.00	$1.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	232	182	$331.00	$129.69
99213 Established patient office or other outpatient visit, typically 15 minutes	160	126	$226.00	$92.08
20610 Aspiration and/or injection of fluid from large joint	106	81	$257.13	$62.44
73070 X-ray of elbow, 2 views	70	41	$112.00	$29.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$450.00	$165.77
73060 X-ray of upper arm, minimum of 2 views	41	11	$124.00	$33.59
23472 Prosthetic repair of shoulder joint, total shoulder	29	29	$12000.00	$1430.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$330.00	$109.41
29823 Removal of extensive shoulder joint tissue using an endoscope	13	13	$3636.00	$116.41
29827 Repair of shoulder rotator cuff using an endoscope	13	13	$5588.00	$997.88
29828 Release of shoulder biceps tendon using an endoscope	11	11	$4742.00	$496.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	462	292	$127.95	$34.85
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	369	70	$15.00	$1.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	216	165	$313.64	$129.71
99213 Established patient office or other outpatient visit, typically 15 minutes	148	117	$215.42	$91.69
20610 Aspiration and/or injection of fluid from large joint	92	69	$235.75	$63.86
73070 X-ray of elbow, 2 views	69	29	$102.72	$30.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$436.89	$172.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$301.61	$114.12
23472 Prosthetic repair of shoulder joint, total shoulder	18	17	$11888.89	$1504.20
29827 Repair of shoulder rotator cuff using an endoscope	17	17	$5437.88	$1096.97
29828 Release of shoulder biceps tendon using an endoscope	14	14	$4690.14	$480.24
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	14	14	$3850.00	$179.12
29823 Removal of extensive shoulder joint tissue using an endoscope	14	14	$3545.14	$185.62
23600 Closed treatment of broken top of upper arm bone	14	14	$1178.00	$355.61
23430 Anchoring of biceps tendon	14	12	$3439.50	$401.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	422	82	$15.00	$1.25
73030 X-ray of shoulder, minimum of 2 views	388	213	$100.09	$34.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	138	$256.41	$133.33
99213 Established patient office or other outpatient visit, typically 15 minutes	150	114	$172.00	$95.01
20610 Aspiration and/or injection of fluid from large joint	106	81	$235.00	$63.55
73070 X-ray of elbow, 2 views	56	27	$80.00	$25.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$391.00	$175.10
23430 Anchoring of biceps tendon	20	19	$2653.00	$355.52
23472 Prosthetic repair of shoulder joint, total shoulder	20	20	$10000.00	$1453.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$257.00	$117.35
23600 Closed treatment of broken top of upper arm bone	12	12	$1178.00	$358.22
29823 Removal of extensive shoulder joint tissue using an endoscope	11	11	$3000.00	$174.51
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$4950.00	$1131.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	454	93	$15.00	$1.40
73030 X-ray of shoulder, minimum of 2 views	400	211	$100.25	$33.87
99213 Established patient office or other outpatient visit, typically 15 minutes	249	160	$172.00	$75.58
20610 Aspiration and/or injection of fluid from large joint	115	92	$235.00	$62.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	95	$256.00	$113.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$257.00	$110.96
73070 X-ray of elbow, 2 views	38	27	$80.00	$30.01
73060 X-ray of upper arm, minimum of 2 views	25	11	$89.00	$31.89
23472 Prosthetic repair of shoulder joint, total shoulder	22	21	$10000.00	$1554.65
23600 Closed treatment of broken top of upper arm bone	20	20	$1236.90	$361.08
29823 Removal of extensive shoulder joint tissue using an endoscope	12	11	$3000.00	$251.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	504	96	$15.00	$1.58
73030 X-ray of shoulder, minimum of 2 views	403	222	$100.74	$30.54
99213 Established patient office or other outpatient visit, typically 15 minutes	292	197	$172.00	$76.02
20610 Aspiration and/or injection of fluid from large joint	122	92	$236.93	$60.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	85	$256.00	$110.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$257.00	$111.69
73070 X-ray of elbow, 2 views	62	37	$80.00	$23.77
73060 X-ray of upper arm, minimum of 2 views	37	13	$89.00	$27.94
23472 Prosthetic repair of shoulder joint, total shoulder	22	21	$10000.00	$1475.58
23430 Anchoring of biceps tendon	17	16	$2653.00	$370.94
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	16	15	$3850.00	$185.95
29827 Repair of shoulder rotator cuff using an endoscope	15	14	$4950.00	$1117.17
29823 Removal of extensive shoulder joint tissue using an endoscope	13	12	$3000.00	$155.15
23615 Treatment of broken top of upper arm bone	13	12	$3850.00	$864.95
29828 Release of shoulder biceps tendon using an endoscope	13	13	$4500.00	$500.91
23600 Closed treatment of broken top of upper arm bone	11	11	$1178.00	$346.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	804	144	$15.00	$1.72
73030 X-ray of shoulder, minimum of 2 views	454	252	$100.00	$27.95
99213 Established patient office or other outpatient visit, typically 15 minutes	305	205	$172.00	$70.93
20610 Aspiration and/or injection of fluid from large joint	195	139	$235.00	$56.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	125	$256.00	$104.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	121	121	$257.00	$107.95
73070 X-ray of elbow, 2 views	62	35	$80.00	$25.36
23600 Closed treatment of broken top of upper arm bone	25	25	$1178.00	$326.32
23472 Prosthetic repair of shoulder joint, total shoulder	20	19	$9125.00	$1482.16
23615 Treatment of broken top of upper arm bone	15	14	$3850.00	$682.93
29823 Removal of extensive shoulder joint tissue using an endoscope	14	14	$3000.00	$332.37
20605 Aspiration and/or injection of medium joint or joint capsule	13	11	$229.00	$37.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	565	109	$15.00	$1.73
73030 X-ray of shoulder, minimum of 2 views	283	172	$100.35	$27.67
99213 Established patient office or other outpatient visit, typically 15 minutes	249	152	$172.02	$70.13
20610 Aspiration and/or injection of fluid from large joint	134	105	$238.35	$55.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$257.06	$105.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	88	$255.83	$105.18
73070 X-ray of elbow, 2 views	50	21	$80.14	$24.35
23600 Closed treatment of broken top of upper arm bone	23	23	$1178.03	$321.28
23472 Prosthetic repair of shoulder joint, total shoulder	14	14	$8250.00	$1435.09
23430 Anchoring of biceps tendon	14	14	$2653.11	$367.04

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License RI 14290

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License MO 2007017133

Hospital & Practice Group Affiliations

University Orthopedics Inc

10 Reservoir St, Mansfield, MA 020483104

Phone: 5086187111

University Orthopedics Inc

2 Dudley St, Providence, RI 029053248

Phone: 4014571500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Stephen Propatier , ACCNP

Nurse Practitioner

NPI 1851447486

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 25, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 25, 2013

Registered at 2 DUDLEY ST, PROVIDENCE, RI 029053236 (Tel: 4014572157)

📍

Updated Business Mailing Address July 25, 2013

Registered at PO BOX 1119, PROVIDENCE, RI 029011119 (Tel: 4014572157)

👤

Provider Name / Credentials Updated July 25, 2013

Recorded as EDWARD PAXTON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2013

Orthopaedic Surgery (License #14290 in RI)

🟢

Initial NPI Registration & Enumeration August 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083805675

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 07, 2007

Last Update: July 25, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 1119

Providence, RI 029011119

Phone: 4014572157

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.